Journal of Immigrant and Minority Health

, Volume 14, Issue 2, pp 272–280 | Cite as

Socioepidemiology of Cigarette Smoking Among Cambodian Americans in Long Beach, California

  • Robert H. FriisEmail author
  • Claire Garrido-Ortega
  • Alan M. Safer
  • Che Wankie
  • Paula A. Griego
  • Mohammed Forouzesh
  • Kirsten Trefflich
  • Kimthai Kuoch
Original Paper


We examined the prevalence of cigarette smoking among Cambodian Americans in Long Beach, California. A stratified random sample of 1,414 adult respondents was selected from 15 census tracts with high concentrations of Cambodian Americans. The prevalence of current smokers was 13.0%; the sex-specific prevalence of smoking was 24.4% for men and 5.4% for women. The mean age of the sample was 50.5 years; about 60% of the respondents were women. The survey response rate was 90.5% among households in which respondents self-identified as Cambodian American, and at least one person completed the survey. Significant covariates of current smoking were gender, age, education, marital status, and health status. The prevalence of smoking among Cambodian men was higher than among other males in California. Culturally-tailored interventions should consider demographic characteristics of the target population as well as the high level of respect given to religion, elders, and peers.


Cigarette smoking Tobacco use Cambodian Americans Minority health Refugees 



This research was supported by grant # 16AT-1300H from the Tobacco-Related Disease Research Program of the University of California. The efforts of our dedicated field interviewers: Kevin Tran, Sopheak Tuon, Sotha Chimm, Vongbrown Marshall, Theary Eung, Laarni Abenoja, Dexter Dizon, Yenba Bui, Devi Sharma, Sovirny Norng, Jane Kil, Kelli Hiraoka, Gill Navjot, Sophie Lim, Rachel Cuevas, Chamnan Im, and Allison Quibuyen. Special thanks to Marinett Thim, Thira Srey, Melody Moua, and the Cambodian American community of Long Beach.


  1. 1.
    Centers for Disease Control and Prevention. Smoking-attributable mortality, years of potential life lost, and productivity losses, United States, 2000–2004. MMWR. 2008;57:1226–8.Google Scholar
  2. 2.
    Siegel M, Mowery PD, Pechacek TP, et al. Trends in adult cigarette smoking in California compared with the rest of the United States, 1978–1994. Am J Public Health. 2000;90:372–9.PubMedCrossRefGoogle Scholar
  3. 3.
    Centers for Disease Control and Prevention. State-specific prevalence and trends in adult cigarette smoking—United States, 1998–2007. MMWR. 2009;58:221–6.Google Scholar
  4. 4.
    Igasaki P, Niedzwiecki M. Aging among Southeast Asian Americans in California. Washington, DC: Southeast Asia Resource Action Center (SEARAC); 2004.Google Scholar
  5. 5.
    U.S. Bureau of the Census. Selected population profile in the United States. Cambodian alone. 2008 American community survey 1-year estimates. 2011. Available at: Accessed 11 May 2011.
  6. 6.
    U.S. Bureau of the Census. Long Beach, CA population estimate 2007. 2011. Available at: Accessed 12 May 2011.
  7. 7.
    World Health Organization (WHO). World health statistics 2009: risk factors. 2009. Available at: Accessed 24 June 2009.
  8. 8.
    Centers for Disease Control and Prevention. Health status of Cambodians and Vietnamese-selected communities, United States, 2001–2002. MMWR. 2004;53:760–5.Google Scholar
  9. 9.
    Lindström M. Social capital, economic conditions, marital status and daily smoking: a population-based study. Public Health. 2010;124:71–7.PubMedCrossRefGoogle Scholar
  10. 10.
    Friis RH, Forouzesh M, Chhim HS, et al. Sociocultural determinants of tobacco use among Cambodian Americans. Health Educ Res. 2006;21:355–65.PubMedCrossRefGoogle Scholar
  11. 11.
    Ma GX, Shive S, Tan Y, et al. Prevalence and predictors of tobacco use among Asian Americans in the Delaware Valley region. Am J Public Health. 2002;92:1013–20.PubMedCrossRefGoogle Scholar
  12. 12.
    Centers for Disease Control and Prevention. Cigarette smoking among adults—United States, 2007. MMWR. 2008;57:1221–6.Google Scholar
  13. 13.
    California Department of Health Services (CDHS). Tobacco Control Section. Adult smoking prevalence, 2005. 2010. Available at: Accessed 11 May 2010.
  14. 14.
    Lew R, Tanjasiri SP. Slowing the epidemic of tobacco use among Asian Americans and Pacific Islanders. Am J Public Health. 2003;93:764–8.PubMedCrossRefGoogle Scholar
  15. 15.
    Singh PN, Yel D, Sin S, et al. Tobacco use among adults in Cambodia: evidence for a tobacco epidemic among women. Bull World Health Organ. 2009;87:905–12.PubMedCrossRefGoogle Scholar
  16. 16.
    Levy PS, Lemeshow S. Sampling of populations. 4th ed. New York: Wiley; 2008.Google Scholar
  17. 17.
    Centers for Disease Control and Prevention. Smoking and tobacco use: question inventory on tobacco. 2011. Available at: Accessed 11 May 2011.
  18. 18.
    World Health Organization (WHO). Process of translation and adaptation of instruments. 2011. Available at: Accessed 11 May 2011.
  19. 19.
    Centers for Disease Control and Prevention, National Center for Health Statistics. Glossary. 2011. Available at: Accessed 11 May 2011.
  20. 20.
    California Health Interview Survey. CHIS 2007 current smoking status Asian ethnicity groups. Release. Los Angeles: UCLA Center for Health Policy Research; 2007.Google Scholar
  21. 21.
    Los Angeles County Department of Public Health. Los Angeles County Health Survey, 2005. 2010. Available at: Accessed 23 Nov 2010.
  22. 22.
    Centers for Disease Control and Prevention. REACHing Cambodian adults in Lowell, Massachusetts. 2010. Available at: Accessed 24 Nov 2010.
  23. 23.
    Mendez D, Warner KE. Setting a challenging yet realistic smoking prevalence target for Healthy People 2020: learning from the California experience. Am J Public Health. 2008;98:556–9.PubMedCrossRefGoogle Scholar
  24. 24.
    Spigner C, Gran-O’Donnell S. Establishing baseline information on cigarette smoking behavior from ethnic-specific groups of Asian American and Pacific Islander youth in Seattle, Washington, 1996–1998. Asian Am Pac Isl J Health. 2001;9:34–9.PubMedGoogle Scholar
  25. 25.
    Yap S, Ho P, Kuo H, et al. Comparing factors affecting commencement and cessation of betel quid chewing behavior in Taiwanese adults. BMC Public Health. 2008;8:199.PubMedCrossRefGoogle Scholar
  26. 26.
    Wetter DW, Cofta-Gunn L, Fouladi RT, et al. Understanding the associations among education, employment characteristics, and smoking. Addict Behav. 2005;30:905–14.PubMedCrossRefGoogle Scholar
  27. 27.
    Van de Put WA, Eisenbruch M. The Cambodian experience. In: de Jong J, editor. Trauma, War, and Violence: Public Mental Health in Socio-Cultural Context. New York: Kluwer Academic/Plenum Publishers; 2002. p. 93–153.Google Scholar
  28. 28.
    Marshall GN, Berthold SM, Schell TL, et al. Rates and correlates of seeking mental health services among Cambodian refugees. Am J Public Health. 2006;96:1829–35.PubMedCrossRefGoogle Scholar
  29. 29.
    Niedzwiecki M, Duong TC. Southeast Asian American Statistical Profile. Washington, DC: Southeast Asia Resource Action Center (SEARAC); 2004.Google Scholar
  30. 30.
    Smith MT, Umenai T. Smoking among Buddhist monks in Phnom, Penh, Cambodia. Tob Control. 2000;9:111–3.PubMedCrossRefGoogle Scholar
  31. 31.
    Lafferty CK, Heaney CA, Chen MS. Assessing decisional balance for smoking cessation among Southeast Asian males in the US. Health Educ Res. 1999;14:139–46.PubMedCrossRefGoogle Scholar
  32. 32.
    Grytdal SP, Liao Y, Chen R, et al. Hepatitis B testing and vaccination among Vietnamese- and Cambodian-Americans. J Community Health. 2009;34:173–80.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Robert H. Friis
    • 1
    Email author
  • Claire Garrido-Ortega
    • 1
  • Alan M. Safer
    • 2
  • Che Wankie
    • 1
  • Paula A. Griego
    • 1
  • Mohammed Forouzesh
    • 1
  • Kirsten Trefflich
    • 3
  • Kimthai Kuoch
    • 3
  1. 1.Department of Health ScienceCalifornia State University Long BeachLong BeachUSA
  2. 2.Department of Mathematics and StatisticsCalifornia State University Long BeachLong BeachUSA
  3. 3.Cambodian Association of AmericaLong BeachUSA

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